Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review

Aims To evaluate the efficacy and adverse events of canakinumab in the treatment of pyoderma gangrenosum (PG).Methods We report two cases of refractory PG treated with canakinumab after failing multiple therapies.Results A 44-year-old female achieved complete ulcer resolution after 31 months of cana...

Full description

Saved in:
Bibliographic Details
Main Authors: Howard Jie Yang, William Spratt, Francis Yi Xing Lai, Senhong Lee
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2025.2495834
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850171651786801152
author Howard Jie Yang
William Spratt
Francis Yi Xing Lai
Senhong Lee
author_facet Howard Jie Yang
William Spratt
Francis Yi Xing Lai
Senhong Lee
author_sort Howard Jie Yang
collection DOAJ
description Aims To evaluate the efficacy and adverse events of canakinumab in the treatment of pyoderma gangrenosum (PG).Methods We report two cases of refractory PG treated with canakinumab after failing multiple therapies.Results A 44-year-old female achieved complete ulcer resolution after 31 months of canakinumab but experienced recurrent infections, including pneumonia requiring intensive care unit (ICU) admission. A 49-year-old male showed no improvement and suffered recurrent Pseudomonas infections, leading to treatment cessation after nine months.Conclusions We present a case series of two patients with PG on canakinumab therapy, both of whom experienced significant infections needing hospitalization. Further studies are needed to evaluate the efficacy and complication profile of canakinumab against other biologic therapy options.
format Article
id doaj-art-b5ad708cfb3545d5a3b7666e8f546ffa
institution OA Journals
issn 0954-6634
1471-1753
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Journal of Dermatological Treatment
spelling doaj-art-b5ad708cfb3545d5a3b7666e8f546ffa2025-08-20T02:20:15ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2025.2495834Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature reviewHoward Jie Yang0William Spratt1Francis Yi Xing Lai2Senhong Lee3Department of Dermatology, Monash Health, Clayton, AustraliaDepartment of Dermatology, Monash Health, Clayton, AustraliaDepartment of Dermatology, Monash Health, Clayton, AustraliaDepartment of Dermatology, Monash Health, Clayton, AustraliaAims To evaluate the efficacy and adverse events of canakinumab in the treatment of pyoderma gangrenosum (PG).Methods We report two cases of refractory PG treated with canakinumab after failing multiple therapies.Results A 44-year-old female achieved complete ulcer resolution after 31 months of canakinumab but experienced recurrent infections, including pneumonia requiring intensive care unit (ICU) admission. A 49-year-old male showed no improvement and suffered recurrent Pseudomonas infections, leading to treatment cessation after nine months.Conclusions We present a case series of two patients with PG on canakinumab therapy, both of whom experienced significant infections needing hospitalization. Further studies are needed to evaluate the efficacy and complication profile of canakinumab against other biologic therapy options.https://www.tandfonline.com/doi/10.1080/09546634.2025.2495834Pyoderma gangrenosumcanakinumabadverse eventsinterleukin inhibitors
spellingShingle Howard Jie Yang
William Spratt
Francis Yi Xing Lai
Senhong Lee
Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
Journal of Dermatological Treatment
Pyoderma gangrenosum
canakinumab
adverse events
interleukin inhibitors
title Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
title_full Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
title_fullStr Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
title_full_unstemmed Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
title_short Canakinumab for the management of pyoderma gangrenosum: a case series of two patients and literature review
title_sort canakinumab for the management of pyoderma gangrenosum a case series of two patients and literature review
topic Pyoderma gangrenosum
canakinumab
adverse events
interleukin inhibitors
url https://www.tandfonline.com/doi/10.1080/09546634.2025.2495834
work_keys_str_mv AT howardjieyang canakinumabforthemanagementofpyodermagangrenosumacaseseriesoftwopatientsandliteraturereview
AT williamspratt canakinumabforthemanagementofpyodermagangrenosumacaseseriesoftwopatientsandliteraturereview
AT francisyixinglai canakinumabforthemanagementofpyodermagangrenosumacaseseriesoftwopatientsandliteraturereview
AT senhonglee canakinumabforthemanagementofpyodermagangrenosumacaseseriesoftwopatientsandliteraturereview